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Mr. Roscoe Carl Walls JR., FNP-BC
Family Nurse Practitioner in Baxley, Georgia
NPI 1376231597

Roscoe Carl Walls JR. is a Family Nurse Practitioner based in Baxley, GA and is specialized in Family. Roscoe Carl Walls JR. practices in Baxley, GA and has the professional credentials of FNP-BC. The NPI Number for Roscoe Carl Walls JR. is 1376231597 and holds a License No. RN253514 (Georgia).

The current practice location address for Roscoe Carl Walls JR. is 625 Deerfield Dr, Baxley, GA and can be reached out via phone at 912-309-2233.

Location: 625 Deerfield Dr, Baxley, GA, 31513-7598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376231597
Provider Name
Roscoe Carl Walls JR.
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
625 Deerfield Dr, Baxley, GA, 31513-7598
Phone Number
912-309-2233
Fax Number
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Deerfield Dr
City
Baxley
State
Georgia
Zip
31513-7598
Phone Number
912-309-2233
Fax Number
person
Provider Business Mailing Address Details
Address
625 Deerfield Dr
City
Baxley
State
Georgia
Zip
31513-7598
Phone Number
912-309-2233
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN253514 (Georgia)
Definition
Definition to come...
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